If my plan is to perform both a brow lift and upper eyelid surgery, I
like to do the brow lift first, and then work on the upper eyelids about six weeks
later. It's a small hassle for the patient, but I think it gives better
results.

When performing the upper eyelid surgery, I like to take off enough skin that
the patient can't quite get her eyelids closed for a couple days after
surgery. By the end of the week, the lids are closing fine. That
way, I am convinced that I removed all of the skin that I could safely remove.

If I'm elevating the brows during the same operation, it's not safe to be
that aggressive with the skin excision on the upper lids. I have to skimp
on the lid excision, and the result isn't quite as good.

Questioner:
What steps would need to be taken during my rhinoplasty?
I think I have a unique nose, so I don't necessarily just want the bump gone but I also want the tip to be lengthened. What steps would be taken during the rhinoplasty and what is a possible outcome for my nose?(Questioner submitted photos)

Dr. Denenberg's answer: I'm not so sure about lengthening your nose
It seems to me that the tip of your nose is strong in its forward projection away from your face, so during the rhinoplasty it might be good to bring it back a little closer. Then, of course, the bump would be removed.

When you bring the tip closer to the face, it makes the nose *look* longer, and also, when a bump is removed, it tends to make the nose *look* longer, and the angle that the bottom of your nose makes is not extremely high at all, so I wonder whether you would have to have your nose lengthened at all! Techniques to lengthen the nose are not as predictable as other changes we like to make, so I like to avoid them if possible.

From the frontal view, it looks as though your tip is quite wide, and narrowing the tip could be important, too. You sent profile and frontal views, but it's the three-quarter views, also called oblique views, that show the width of the tip best.

Finally, all due respect, your cropping didn't even leave all of your nose in the photos! It helps to see the entire nose.